| The Awareness Program | |
|
45550 Grace St Indio CA 92201-4610 | |
| (760) 342-1233 | |
| (760) 342-5344 |
| Full Name | The Awareness Program |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 45550 Grace St, Indio, California |
| Authorized Official Name and Position | Candace Bibby (ADMINISTRATOR) |
| Authorized Official Contact | 7603421233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Awareness Program 45550 Grace St Indio CA 92201-4610 Ph: (760) 342-1233 | The Awareness Program 45550 Grace St Indio CA 92201-4610 Ph: (760) 342-1233 |
| NPI Number | 1811173792 |
|---|---|
| Provider Enumeration Date | 01/10/2008 |
| Last Update Date | 01/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811173792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3300101120 (California) | Primary |
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